Sculpt Surgical, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

25MA08778700 Issued in NJ

Legal business name

SCULPT SURGICAL, LLC

Practice address

131 Madison Ave Ste 120
Morristown, NJ 07960-7360

Phone

(973) 577-6050

NPI assigned

Jan 8, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mehul Kamdar, MD

Title

Plastic and Reconstruction Surgeon

Phone

(973) 577-6050

Specialties & licenses 1

Addresses

Tax ID family

Sculpt Surgical LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sculpt Surgical, LLC

  • Plastic Surgery Physician
  • Morristown, NJ
  • NPI 1376840801
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1366864498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RUTHVEN PL",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013621",
            "telephone_number": "917-656-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 MADISON AVE STE 120",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079607360",
            "telephone_number": "973-577-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCULPT SURGICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-08",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "KAMDAR",
        "authorized_official_first_name": "MEHUL",
        "authorized_official_title_or_position": "PLASTIC AND RECONSTRUCTION SURGEON",
        "authorized_official_telephone_number": "973-577-6050",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "25MA08778700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayanna Barika Scoggin-Thomas, M.D.
• Lindsay Jane Scoggins, DMD
• Michael A Scola, M.D.
• Dina Emma Scott, MA, LAC, NCC
• Erin Scott, LPC
• Sculpt Surgical, LLC
• Seabrook House, Inc.
• Seaton Hackney Stables
• Jodi Komoroski Sebastian, MD
• Vivianne Baro Sebastian, PT

• Specialist in Morristown, NJ
• Providers in Morristown, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.